Tuberculosis and Respiratory Diseases

The Korean Academy of Tuberculosis and Respiratory Diseases (대한결핵및호흡기학회)
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A Case of Pulmonary Sarcoidosis with Elevated Carcinoembryonic Antigen (CEA)

CEA상승을 보이는 폐 유육종증의 1예

  • Yang, Mi-Yean (Division of Pulmonology & Allergy, Department of Internal Medicine, Soonchunhyang University Bucheon Hospital, Soonchunhyang University College of Medicine) ;
  • Ryu, Yang-Seon (Division of Pulmonology & Allergy, Department of Internal Medicine, Soonchunhyang University Bucheon Hospital, Soonchunhyang University College of Medicine) ;
  • Ko, Hee-Ja (Division of Pulmonology & Allergy, Department of Internal Medicine, Soonchunhyang University Bucheon Hospital, Soonchunhyang University College of Medicine) ;
  • Park, Se-Kyng (Division of Pulmonology & Allergy, Department of Internal Medicine, Soonchunhyang University Bucheon Hospital, Soonchunhyang University College of Medicine) ;
  • Park, Jong-Sook (Division of Pulmonology & Allergy, Department of Internal Medicine, Soonchunhyang University Bucheon Hospital, Soonchunhyang University College of Medicine) ;
  • Park, Chun-Sik (Division of Pulmonology & Allergy, Department of Internal Medicine, Soonchunhyang University Bucheon Hospital, Soonchunhyang University College of Medicine) ;
  • Park, Jae-Sung (Department of Radiology, Soonchunhyang University Bucheon Hospital, Soonchunhyang University College of Medicine) ;
  • Bak, Sang-Hyen (Department of Radiology, Soonchunhyang University Bucheon Hospital, Soonchunhyang University College of Medicine) ;
  • Ko, Eun-Suk (Department of Pathology, Soonchunhyang University Bucheon Hospital, Soonchunhyang University College of Medicine) ;
  • Park, Jeong-Mi (Department of Nuclear Medicine, Soonchunhyang University Bucheon Hospital, Soonchunhyang University College of Medicine)
  • 양미연 (순천향대학교 의과대학 순천향대학교 부천병원 호흡기알레르기내과학교실) ;
  • 유양선 (순천향대학교 의과대학 순천향대학교 부천병원 호흡기알레르기내과학교실) ;
  • 고희자 (순천향대학교 의과대학 순천향대학교 부천병원 호흡기알레르기내과학교실) ;
  • 박세경 (순천향대학교 의과대학 순천향대학교 부천병원 호흡기알레르기내과학교실) ;
  • 박종숙 (순천향대학교 의과대학 순천향대학교 부천병원 호흡기알레르기내과학교실) ;
  • 박춘식 (순천향대학교 의과대학 순천향대학교 부천병원 호흡기알레르기내과학교실) ;
  • 박재성 (순천향대학교 의과대학 순천향대학교 부천병원 영상의학교실) ;
  • 백상현 (순천향대학교 의과대학 순천향대학교 부천병원 영상의학교실) ;
  • 고은석 (순천향대학교 의과대학 순천향대학교 부천병원 병리학교실) ;
  • 박정미 (순천향대학교 의과대학 순천향대학교 부천병원 핵의학교실)
  • Received : 2010.02.01
  • Accepted : 2010.03.24
  • Published : 2010.07.30
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Abstract

Sarcoidosis is a multi-systemic granulomatous disorder of unknown etiology. The characteristic pathological finding is the presence of non-caseating granulomas. The lungs are primarily affected, however other organs may be involved causing various symptoms and ambiguous laboratory findings can be present. There are a few reported cases of sarcoidosis with elevated tumor markers. We describe a 68-year-old woman presenting with sarcoidosis showing elevated serum carcinoembryonic antigen (CEA). The possibility of cancer arising from serum CEA such as gastrointestinal cancer, breast cancer and lung cancer was excluded. A transbronchial lung biopsy demonstrated a non-caseating granuloma without necrosis. As a result prescribed 30 mg prednisolone daily to the patient and serum CEA was decreased after 1 month of treatment. We report a case of pulmonary sarcoidosis with elevated serum CEA.

Keywords

References

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